Form ID

Publication date

Location of premises

Certificate

Replace Humidifiers, 1501 Fuller Avenue, Penetanguishene, Ontario

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation acting as agent on behalf of Her Majesty the Queen in right of Ontario as represented by the
Address of Owner
Senior VicePresident, Real Estate Development & Project Serv
Name of Contractor
Bradanick Construction Services Inc.
Address of Contractor
3 Progress Drive, Unit 10, Orillia, ON L3V 6H1
Name of Certifier
Mat 4Site Engineers Ltd.
Address of Certifier
620 Wilson Avenue, Suite 320, Toronto, ON M3K 1Z3

Office to which claim for lien must be given to preserve lien

President & Chief Executive Officer, Ontario Realty Corporation, 1 Dundas Street West, Suite 200, Toronto, ON M5G 2L5